| LCA CASE NUMBER | I-200-22126-142279 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-05 |
| DECISION DATE | 2022-05-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Engineering Project Lead |
| SOC CODE | 17-2141.00 |
| SOC TITLE | Mechanical Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-06-15 |
| END DATE | 2025-06-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Western Forms, Inc. |
| EMPLOYER ADDRESS1 | 6200 Equitable Rd. |
| EMPLOYER CITY | Kansas City |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 64120 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18166744342 |
| NAICS CODE | 332311 |
| EMPLOYER POC LAST NAME | Hansen |
| EMPLOYER POC FIRST NAME | Robert |
| EMPLOYER POC MIDDLE NAME | J |
| EMPLOYER POC JOB TITLE | VP, Administrative Services |
| EMPLOYER POC ADDRESS1 | 6200 Equitable Rd. |
| EMPLOYER POC CITY | Kansas City |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 64120 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18166744342 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Noulles |
| AGENT ATTORNEY FIRST NAME | Sarah |
| AGENT ATTORNEY ADDRESS1 | 9303 W 75TH ST |
| AGENT ATTORNEY ADDRESS2 | Suite 210 |
| AGENT ATTORNEY CITY | Overland Park |
| AGENT ATTORNEY STATE | KS |
| AGENT ATTORNEY POSTAL CODE | 66204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19134329994 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Bordeau & Noulles LLC |
| STATE OF HIGHEST COURT | KS |
| NAME OF HIGHEST STATE COURT | Kansas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6200 Equitable Rd. |
| LCA CASE WORKLOC1 CITY | Kansas City |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 64120 |
| LCA CASE WAGE RATE FROM | 81054 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 75046 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Noulles |
| PREPARER FIRST NAME | Sarah |
| PREPARER BUSINESS NAME | Bordeau & Noulles LLC |
| PREPARER EMAIL | [email protected] |
